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Doctor insights on:
Recurring Peptic Ulcers

1

Peptic ulcer factors:
The are a lot of factors that can cause peptic ulcers including but not limited to increased acid secretion, medications, H.pylori infection. some of them are acquired but not necessarly all of them. You should consult your physician to be able to find the specific cause of peptic ulcer
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Exact synonym so far as this pathologist is concerned. An ulcer is a lesion on a body surface (outer or inner) in which the epithelium and at least some of the underlying connective tissue has been lost specifically to necrosis (cell death) rather than just mechanical or chemical injury. All ulcer craters are covered with fibrin.
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3

Ulcer in stomach:
It can be single, multiple, . In stomach, duodenum, at different anatomical location. Can involve mucosal layer, or all layers of stomach. Asymptomatic ones can be malignant.
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11

Duodenal Ulcers:
The most common cause of duodenal ulcer is a stomach infection associated with the helicobacter pylori (h pylori) bacteria. Other risk factors for duodenal ulcers include overuse of alcohol, tobacco, and medications such as Aspirin and nonsteroidal anti-inflammatory drugs (nsaids). Severe illness has also been implicated as a risk factor in the development of duodenal ulcer.
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13

That depends:
Upon whether or not you have a gluten sensitivity/allergy, celiac sprue or not. If you are someone who suffers with celiac sprue (gluten allergy) then yes, you need to avoid products containing gluten. If you have an ulcer due to Helicobacter pylori infection then you will need to heal up with treatment and time. Assuming you have had an endoscopy. Be sure to discuss with your gastroenterologist.
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14

Return to GI doc.:
If the h pylori has been fully treated, and the symptoms recur, you must have it reevaluated by a gastroenterologist. It may not a simple ulcer, you may have a hyper acidity or something else that may require further evaluation, including upper endoscopy and biopsy.
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15

Yes, unsure stat:
Chronic h. Pylori infection/gastritis can cause a type of gastric tumor called malt--mucosa associated lymphoid tissue lymphoma, but the incidence is not known. Long term gastritis by other causes also increase risk of gastric cancer, just as in folks with chronic reflux causing esophagitis/barrett's esophagus etc.. Which increases cancer risks. So, follow up with doc regularly. Good luck.
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17

Possible Causes:
Sounds like you have had a series of endoscopic studies and likely biopsy studies to rule out infection with H. Pylori, Barrett Disease, and Eosinophilic Gastritis. Consider serum Gastrin level, parietal cell antibodies and B12 level.
No antiarthritic meds incl. aspirin.
No Tums because of acid rebound(looks likes acid is being suppressed)
Take Nexium (esomeprazole) in early morn
Consider Nexium (esomeprazole)+Carafate+Pepcid
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18

Different ones:
Stomach ulcer symptoms are made worse by lack of food in the stomach & made worse with alcohol, aspirin, ibuprofen, etc. Often eating some food improves ulcer symptoms. Opposite in gallbladder conditon, as eating fried, fatty & greasy foods causes gallbladder symptoms to get worse.
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20

Ulcer in stomach:
It can be single, multiple, . In stomach, duodenum, at different anatomical location. Can involve mucosal layer, or all layers of stomach. Asymptomatic ones can be malignant.
...Read more

An ulcer is a discontinuity or a break in a body membrane that impedes the normal functioning of the organ of which that membrane is a part. Ulcers are further classified by their location. Ulcers are usually caused by infections, excessive acid production, stress, and overuse of NSAIDs.
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